Provider Demographics
NPI:1679986756
Name:CORDI, RAYMOND WILLIAM (FNP)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:WILLIAM
Last Name:CORDI
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CRESCENT DR S
Mailing Address - Street 2:
Mailing Address - City:ELMSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10523-2802
Mailing Address - Country:US
Mailing Address - Phone:184-573-1971
Mailing Address - Fax:
Practice Address - Street 1:357 KINGS RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-3645
Practice Address - Country:US
Practice Address - Phone:518-374-4468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338735363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily